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COPN requests in Virginia Planning District 5

25+ certificate of public need requests in Planning District 5 with applications received since January 2016. Requests in the file name locations including Roanoke, Salem.

25+requests with applications since 2016
25+approved in full or in part
1denied
0pending as of October 27, 2026

What was requested

The largest service lines were Diagnostic imaging CT, Nursing home beds, Psychiatric beds and Diagnostic imaging MRI.

The most recent requests

RequestApplicantServiceApplicationOutcome
VA-8885James River Cardiology, LLC d/b/a AlignedCardioDiagnostic imaging PETMay 8, 2026Approved
VA-8863Carilion Medical Center d/b/a Carilion Roanoke Memorial HospitalRadiation therapyNov 25, 2025Approved
VA-8856Carilion Medical Center d/b/a Carilion Roanoke Memorial HospitalDiagnostic imaging CTSep 26, 2025Approved
VA-8823Lewis-Gale Medical Center, LLCDiagnostic imaging CTMar 31, 2025Approved
VA-8801Carilion Medical Center d/b/a Carilion Roanoke Memorial HospitalRadiation therapyNov 26, 2024Approved
VA-8774Carilion Medical Center d/b/a Carilion Roanoke Community HospitalAcute care bedsJun 28, 2024Partially approved
VA-8763Carilion Rehabilitation Services and Carilion ClinicRehabilitationApr 29, 2024Approved
VA-8745Carilion Roanoke Memorial HospitalOtherJan 25, 2024Approved
VA-8696Lewis-Gale Medical Center, LLCPsychiatric bedsMar 1, 2023Approved
VA-8666Carilion Roanoke Memorial HospitalDiagnostic imaging CTSep 29, 2022Approved
VA-8601Carilion Medical Center (CMC) d/b/a Carilion Roanoke Memorial HospitalDiagnostic imaging MRISep 30, 2021Approved
VA-8600Carilion Medical Center (CMC) d/b/a Carilion Roanoke Memorial HospitalDiagnostic imaging MRISep 30, 2021Approved

Request numbers link to the first VDH document posted for that request.

What the full file adds

Each row in the subscriber file also carries the capital cost, the competing requests, the DCOPN staff recommendation and the reasons behind it, the charity care condition, the certificate number and links to every VDH document. Pending requests and letters of intent come with the five closest decided cases.

Founding rate

$500 a year for the first five subscribers. Reserving is free; the first file and invoice go out in January 2027.

Reserve a subscriptionDownload the 10-row sample

Browse other requests

By service line

CT scanners MRI PET and PET/CT Outpatient surgery and operating rooms Cardiac catheterization Radiation therapy Nursing home beds Psychiatric beds

By planning district

Planning District 8 Planning District 15 Planning District 20 Planning District 21 Planning District 5 Planning District 16